Retirement Handbook for UCRP Members

ChapterIntroduction Title 1

The booklet this summaries in explain the plans’ provisions and the policies and rules them. govern that If a conflict exists between these summaries and the plan documents, the plan documents govern. The the has Administrator authority Plan to interpret disputed provisions. The booklet this information in reflectsterms theof the benefit effectplans in as Jan. summaryis a 2021.1, Please this that note your benefitsof only; additionalrequirements, and limitations applicable Refer to apply. plan documents may exclusions and precedence for take regulations details which a there if is difference betweenand therein the those provisions of this document. How can I stay connected to UC after I retire? after UC to connected I stay can How What do I need to do and when can I begin collecting these benefits? these collecting I begin can when and do to I need do What What benefits am I eligible for as a member of UCRP? of member as a for eligible am I benefits What This booklet will help answer some common questions: some common answer This booklet will help application process and the election of your benefits. your and the election of process application 90 days before the date you want to retire, you’ll begin the you’ll want to retire, you the date before 90 days final decisions. UC has resources to help you as well. you as Then, about to help resources UC has final decisions. We urge you to consult your financial advisor before making any making any financial advisor before your to consult you urge We Retirement decisions are among the most important among decisions are make. ever you’ll Retirement on your membership classification and member tier. and classification membership on your five years of UCRP service and reach age 50 or 55, dependingage 50 reach and UCRP service credit of years five You can retire and receive UC Retirement Plan (UCRP) benefits Plan (UCRP) Retirement UC and receive can retire You least at have is, when you eligible—that become you anytime after important ahead. to plan of the next phase: retirement. The process is not difficult, but it’s is not difficult, The process phase: retirement. but it’s the next of You’ve had a , successful at UC and now you’re thinking thinking and now you’re UC at career successful long, had a You’ve 2

Chapter Title ChapterTable Title of Contents 3 17 18 19 19 20 20 21 22 23 24 24 25 26 17 ...... If You Retire Outside Retire California andIf You all Members for Eligible are Other UC-sponsored Stops that Coverage Other Options Continuation Coverage Other Information about Health Retiree and Benefits The Retirement Process Election Process Required Documentation Retire After You Resources UCReturning to after Retirement For More Information UC’s Medical Contribution to and Dental Premiums Medicare 12 13 13 14 15 15 5 7 7 7 8 9 10 10 11 12 12 ...... Thinking about Retirement Other Plans Retirement UC Program Retirement UC Health & WelfareYour Benefits Health Continue and Benefits to Welfare Eligibility Your UC RetirementYour Benefits University of California Retirement Plan IncomeBasic Retirement IncomeBasic Retirement Offsets Postretirement Survivor Continuance MonthlyAlternate Payment Options Other Affect May that Your Provisions Benefit SumLump Cashout Capital Accumulation Payment Basic Death Payment Benefitand Compensation Covered Limitations Table of Contents of Table Chapter Title

Chapter Title

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4 ChapterThinking Title about Retirement 5

At the highest age factor, theAt highest factor, age If you’re eligible forMedicare, eligible If you’re you need coordinate to Fidelity offers workshops, on-site webinarsand appointments Planners help Retirement youwith prepare to for retirement. myUCretirement.comVisit workshops of for a list at your location, classes online and contact information for Planners. Retirement 40 years of UCRP service credit— 100 to up you’ll receive be to percent your highest of eligible planaverage compensation, depending on the benefit retirement select.you CalPERSIf have you or CalSTRS benefits, coordinating your for UCRP dates retirement and your other benefits can to be your advantage. 65—Age Medicare can into your enrollment your retirement. with You often reduce the your UC cost of by health retiree insurance enrolling in Medicare. RESOURCES HELP DETERMINE TO YOU YOUR RETIREMENT READINESS UCRP Benefit Estimator uses your personal information such serviceas and credit most information to recent your pensionestimate benefitat various ages. UCnet Visit your UC to (ucnet.universityofcalifornia.edu) in and sign retirement,incomecould find your youretirement may be Most home take thanhigher your current investment pay. advisors recommend about you that have 80 percent your of retirement. income during current available advantage workshops of and learn Take other resources to more about and benefits: retirement retirement • Retirement At Your Service Your At (UCRAYS)Retirement account. Retirement a modeling is Review tool shows that you how much monthly income on from you your are retirement track receive to UCRP benefitsand yourProgramRetirement Savings accounts. information about can enter also other savings retirement You and Social benefitsget a to more have you may picturecomplete find your possible of income. retirement You’ll this tool at myUCretirement.com. If pay. your current to estimates Compare your retirement you subtract your UCRP contributions, savings retirement and costs for benefits won’tthat in continue contributions

- At age 60 age At or depending 65, on If you became a member UCRP of At age 60 age At or depending 65, on your UCRP member tier, you’ll be eligible to receive up to 75 percent 75 to up UCRP you’ll receive be to member eligible tier, 20 years of service credit— 30 years of service credit— before July 1, 2013, you’ll be for health retiree benefits eligible should you elect a monthly benefit. UC’stocontribution depend will your premiums on when you became a member of UCRP or first enrolledin primary retirement benefits. See page 15 for details. 50 to up your UCRP you’ll receive be to member eligible tier, depending compensation, plan percent your highest of average on the benefit retirement you select.you If became a memberof UCRP before July 1, 2013, you’ll be for 100 eligible percent the of health retiree UC regardless to contribution your age. of If you became a member enrolled primary in (or benefits) retirement after date, UC’s that depend will contribution on at your age retirement. your highestof plan average compensation, depending on the benefitretirement you select. Please note: Choice participants Pension members are of UCRP’s and therefore for are applicable eligible Tier, 2016 UCRP benefits. Savings Choice participants are not members of UCRP; therefore some of the information in this hand years10 of service credit— Your maximum benefitYour cannot 100exceed your of percent highest plan average compensation (HAPC), most which often occurs when you the reach the with age highest age retirement factor 40 and have page 8) (see years UCRP of service credit. Only you can determine the best but retire, there for time you to someare benchmark years service of or credit when age many people look closely retirement. at consider: Here to a few are UCRP benefitssubject are collectiveto bargaining, you’re if so a union,in your UCRP benefits may different.be your Consult collective agreement bargaining for details. WHEN’S THE BEST TIME RETIRE? TO Your benefitsYour yourare by determined membershipclassification Most (UCRP) UC current Plan Retirement tier. member and a Tier receive members to and eligible are the in 1976 are pension 50years age five with at of UCRP servicecredit. Members UCRP’s of at Tiers 2013 retire or 2016 to eligible are years five with of UCRP service55 credit. book For not information about will apply. benefits retirement for Savings Choice members, see the Defined Contribution Plan summary, available at ucal.us/contributionplan. If you’re thinking about but aren’t thinking If you’re retiring certain ready, you’re you know sure themake basics UC’s of benefits. retirement Thinking about Retirement about Thinking , available , available Your Guide to UC Benefits UC Disability to Guide Your UC’s local Administration Service Retirement benefits Center, offices and some Centers retiree and Retirement and emeriti associations offer pre-retirement workshops planning and other activities. generally include financial Topics planning, social and emotional preparation for retirement,leisure activities, working after retirement and health. for Watch news about these events on your campus, or contact the organization learn to more (contact information on is page 27). UCnet information has about UCRP and the Retirement Savings Program, summary plan descriptions, and a step-by-step the process. guide retirement to Visit ucnet.universityofcalifornia.edu. on UCnet, your Benefits or talk to Office or the Retirement UC ServiceAdministration Center. • • One other note: disabled If you’re and applying for retirement income your disability while income application pending, is be apply to for UCRPsure disability benefitsyour to priorthe date electionretirement becomes irrevocable, unless the is delay error administrative ordue your medical to condition. For more see information, Thinking about Retirement about Thinking 6

ChapterThinking Title about Retirement ChapterYour Title UC Retirement Benefits 7

A factor based chart (see retirement on at your age on page 8) UCRP serviceYour and credit highest plan average compensation (HAPC).Your Essentially, your highest monthly is average salarythis any over consecutive 36-month period, some with limitations. (See “What HAPC?” Your is employees, For part-time on page 9.) the HAPC equivalent the the of is full-time highest average . factorAge x service = benefit credit % Benefit % x HAPC = monthly benefit Service Credit earn UCRP serviceYou whenever credit covered you receive compensation for a UCRP-eligible appointment. The maximum service you credit can full-time of earn for a year or variable If you work time, part-time you work one is year. earn a proportionate service amount to credit. For example, you receive youif work 50 percent for time one year, one-half service of year UCRP credit. service Your and credit your years service of differ. may should your service review You and credit resolve any discrepancies before applying benefits. for retirement YOUR RETIREMENT DATE YOUR cannot be date retirement than the earlier first of the Your day monthyou start the process. retirement Also, your retirement cannot bedate than the earlier after day UC of your last day Foremployment example, your separation (called date). your if on Saturday. retire you may separation a Friday, is date INCOME RETIREMENT BASIC the incomeBasic is principal retirement benefitof UCRP membership. provides Generally, it the largest monthly benefit that includes: • • • the following to calculated income according Basic is retirement general formula: • • you can receive from UCRP. This benefit This is based formulaon a fromyou can UCRP. receive

UC Plan, Retirement a traditional pension plan, and the have you may which Capital Payment—or CAP, Accumulation youif worked UC at between 1992 and 2003 and DC plans, savings from 403(b),Retirement 457(b) Savingsincluding Choice accounts and Choice Pension accounts supplement Medical, dental, vision, legal, pet and Death Accidental & Dismemberment eligible you coverage, if are insurance MONTHLY RETIREMENT INCOME RETIREMENT MONTHLY If you meet requirements, the eligibility UCRP you can receive monthly income when lifetime addition you In retire. this to income for yourself, UCRP offers several payment options canthat monthly provide income a lifetime after your death, canwhich be your spouse, paid to domestic partner or another person Two, you name. Benefits Tier 2016 Tier, for 2013 Tier, Safety and some union members differ may from those your benefitsrepresentative information.for described here. For information, see the appropriate summary plan description, onavailable the UCnet website or from your Benefits Office. (ucnet.universityofcalifornia.edu) If you are considering retirement because retirement If considering you are became you recently disabled, please UCRP that note members least at with years five serviceof apply age. may You credit for disability any income at must apply for disability income date. prior your retirement to Contact the UC Administration Service Retirement or see Center ELIGIBILITY be for monthly income, eligible retirement generally you To least at mustyears five of have UCRP service of as credit your separation and be date least depending at 50 age or 55, on your membership classification your on and membertier, retirement date. The University (UCRP), California of Plan a traditional Retirement pension plan, designed monthly provide is income lifetime and to other and retirement survivor benefits. Some members elect may cashout sum a lump monthly of instead income. (See “Lump Sum Cashout” on page 11.) UNIVERSITY RETIREMENT PLAN CALIFORNIA OF • • • information about is Following these benefits. Your exactYour benefits depend on how worked longyoufor have UC and how much money you’ve saved. Here’s be what may you: to available While you’ve been working, UC been and you have for providing your retirement. section, this In we’ll explain the benefits retirement earned have you through may your UC employment. Your UC Retirement Benefits Retirement UC Your Your UC Retirement Benefits

Your UC Retirement Benefits

BASIC RETIREMENT INCOME OFFSETS EXAMPLE 1: BASIC RETIREMENT INCOME CALCULATION WITHOUT SOCIAL SECURITY OFFSET Depending on your membership classification and tier, certain Professor Jones retires at age 65 with 35 years of service credit. offsets may be built into the benefit formula. For instance, Her HAPC is $9,000. benefits are reduced for members affected by the noncontribu- tory (Plan 02) period (when many UCRP members were not Age factor for 60 or older is .025 x 35 years of service credit = required to contribute to the Plan), from July 1, 1966, through 87.5% benefit percentage June 30, 1971. Please see the Service Credit Purchase Guide (available at ucal.us/purchase) for details. .875 x $9,000 = $7,875 monthly retirement benefit

If you are in the 1976 Tier and your UC employment is covered by EXAMPLE 2: BASIC RETIREMENT INCOME Social Security, your basic retirement income is reduced slightly WITH SOCIAL SECURITY OFFSET to account for the Social Security taxes that UC has paid on your Mr. Padilla retires at age 59 and 8 months with 30 years of behalf. If you retire before age 65, UCRP provides a monthly service credit. His HAPC is $5,000. temporary supplement that restores the full benefit amount. This supplement stops when you reach age 65. Even if you begin Age factor for 59 and 8 months is .0245 x 30 years of service receiving Social Security before age 65, you continue to receive credit = 73.5% benefit percentage the supplement until age 65. .735 x ($5,000 – $133 offset) = $3,577.25 monthly benefit + Note: UC’s contributions to Social Security for 2013 Tier and $98 Social Security supplement until age 65. 2016 Tier members have been accounted for in the retirement benefit formula; therefore, there is no supplement or offset for these members.

RETIREMENT AGE FACTORS

Age Complete Months From Last Birthday to Retirement Date

1976 2013/2016 0 1 2 3 4 5 6 7 8 9 10 11 Tier Tier

50 55 .0110 .0111 .0112 .0114 .0115 .0116 .0117 .0118 .0119 .0121 .0122 .0123

51 56 .0124 .0125 .0126 .0128 .0129 .0130 .0131 .0132 .0133 .0135 .0136 .0137

52 57 .0138 .0139 .0140 .0142 .0143 .0144 .0145 .0146 .0147 .0149 .0150 .0151

53 58 .0152 .0153 .0154 .0156 .0157 .0158 .0159 .0160 .0161 .0163 .0164 .0165

54 59 .0166 .0167 .0168 .0170 .0171 .0172 .0173 .0174 .0175 .0177 .0178 .0179

55 60 .0180 .0181 .0182 .0184 .0185 .0186 .0187 .0188 .0189 .0191 .0192 .0193

56 61 .0194 .0195 .0196 .0198 .0199 .0200 .0201 .0202 .0203 .0205 .0206 .0207

57 62 .0208 .0209 .0210 .0212 .0213 .0214 .0215 .0216 .0217 .0219 .0220 .0221

58 63 .0222 .0223 .0224 .0226 .0227 .0228 .0229 .0230 .0231 .0233 .0234 .0235

59 64 .0236 .0237 .0238 .0240 .0241 .0242 .0243 .0244 .0245 .0247 .0248 .0249

60+ 65+ .0250

8 ChapterYour Title UC Retirement Benefits 9

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Your spouse been you have (if Your married least at one year full married before your continuously and until retirement remain or death), domestic partnerYour your partnership (if began least at one until before year uninterrupted andfull retirement continues your death; see page 23 for requirements for establishing a partnership) domestic (generally, children or your adopted natural eligible Your or stepchildrenchildren your domestic of or children partner who under are 18—under age students— 22 age full-time if andsupport—50 who significant receive or more—percent from the before you in year There date. your retirement for disabled exceptions are children. See the summary plan description for details) dependent eligible parentsYour (generally, parents receiving supportsignificant you—50 from or in themorepercent year before date) your retirement Minimum Benefit Guarantee If active you an were UCRP member on April 1, and 1976, elected Social Security coverage, UCRP guarantees that combined survivor benefits from Social Securityand UCRP’s postretirementsurvivor be will no less than continuance the UCRP postretirement survivor alone you if had continuance not elected Social a Security. For apply, the guarantee to survivor been must have your spouse, or on parent child April 1, and must 1976, meet require other eligibility all ments. See the appropriate summary plan description for information. more continuance if you if electcontinuance cashout. sum a lump The postretirement the survivor paid first to is of continuance the survivors: eligible following • • • • above, Tier the if situations person the of For all 1976 receiving dies—orthe becomes it continuance receiving a child if ineligible—the benefitto the continues next survivor eligible longfor as someone as eligible. The is postretirement survivor not optional, is not and choosecontinuance you may the recipient. If are you a 2013 Tier member or a Retirement Choice postretirement survivor = 50 percent basic of continuance retirement income. forfeit You postretirement survivor participant (Pension Choice or Savings there no is Choice), survivor retirement continuance. postretirement If you are a 1976 Tier memberIf are you a 1976 without Social Security, the

Pay for ,Pay the unless in form compensatory of offtime for correspondence,Pay summer session or equivalent term, intersession, or UC Extension courses, or for orinterquarter vacation periods unless employment such a partconstitutes or annual indefinite an of appointment for the exceeds rate that andPay the regular full-time normal been you have which to appointed the of appropriate excess fiscal in you receive year Pay base salary scale arrangements through negotiated the of appropriate excess fiscal in you receive Pay year base salaryyear scale for care patient or other professional services exceeds that Pay established base rates, pay including and honoraria compensation, nonelective deferred feesconsulting exceeds that definedPay the dollar limit in §401(a)(17) Code, the Revenue of Internal or applies you, it if to the PEPRA page 12) maximum (see • • • • • Covered compensationCovered the monthly is you gross actually pay from UCreceive for and a regular normal appointment, stipendsincluding and shift differentials. employmentOnly UC paid via and payroll reportable form on your W-2 compensation considered covered are for UCRP service andcredit calculation purposes. compensation Covered does include: not What Is Your HAPC?What Is Your HAPC equivalent covered your full-time is Technically, compensation the averaged over consecutive 36 months your compensation which during highest. is usually— is This but not always—the three years just before you retire. • • If you are a 1976 Tier memberIf are you a 1976 Social with Security, the If are you a member a monthly UCRP of Tier, the 1976 benefit—called the postretirementsurvivor continuance—will survivorbe your eligible paid to when you die. automatic This benefit UCRP’sinto is built income retirement monthly benefit formula for some membership classifications;your benefitis benefit.not for reduced this pay to POSTRETIREMENT CONTINUANCE SURVIVOR postretirement survivor = 25 percent basic of continuance income.retirement (See “Minimum Benefit Guarantee”at forfeit postretirementright.) You survivor if continuance you elect cashout. sum a lump

Vacation leave, unlike , is not converted to not converted leave, is sick to leave, unlike Vacation Remember, therequest Remember, not binding. is The purpose the of youinformationto give profileon to which retirement is base decisions. your retirement Should you choose name a to annuitant, do so part you will as contingent the of retirement election process. For more information on the payment options, see the UCnet. on description plan summary UCRP appropriate AFFECTOTHER MAY PROVISIONS BENEFIT YOUR THAT SICKACCUMULATED LEAVE 120 within separating of If days you retire from UC employment, generally is converted leave UCRP sick to accumulated any service hours for the roughly eight leave at of credit rate sick of one service of day credit. Because service used is your credit in benefit increase can sick calculation,leave your accumulated your monthly benefit. not converted is service leave Sick to you if elect credit the lump sum cashout. Note: service credit. If you earn vacation use leave, it you may departmental(with the effective to up consent) your of date separation. location unused you for any vacation pay will Your whenleave your UC employment ends. SERVICE CREDIT PURCHASE As purchase UCRP a service you may member, for credit an sabbaticalapproved leave, without extended leave pay, sick leave, or temporary foror earlier periodsof employment UCRP for which been have contributions refunded. Generally, you must elect purchase service to credit, and payment,complete before UC you leave employment. activeIf an you are UCRP member less with thanyears five serviceof and off credit laid you are yourappointmentor is for budgetaryeliminated reasons, be you may able establish to service for credit vesting purposes through a trustee-to-trustee service or sum, a rollover a lump after- credit transfer, must your purchase complete beforepurchase. you leave You UC employment. Savings that Please Choice participantsnote the do not have purchaseoption health retiree service to type for credit any leave,of or for periods earlier employment of UCRP for which been have contributions refunded. See the Guide (ucal.us/purchase) UCRP Service Purchase Credit information. more for , 1 -

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Eligibility rules differentfor are and health welfare Eligibility right this to benefit, your partner must sign your retirement election form acknowledging your decision name to someone else as contingent annuitant. Because your spouse or state-registered domestic partner could have a legal

1 potential payments second a to person. The amount the of potential reduction depends on your age, the your contingent of age the of estimates benefitsannuitant— youcontingent and your after your death—could under receive each payment . When you create your PersonalWhen Profile, you Retirement create you’ll be information so you annuitant can see for contingent asked Electing payment option means your UCRP alternate an benefit could be rather multiple paid lifetimes out over than just one. Your reduced income provide is retirement forbasic these to Code Revenue Internal place an that Please note may regulation on thea limitation extent your monthly benefits can reducedbe provide for a non-spouseto who moreannuitant is contingent years thanthan younger you. 10 As a result, some the of or all payment not options be may for you available to alternate elect more years younger is than ten annuitant the if contingent than you. tion Service or your Benefits Center maychange not You Office. your designation of annuitant contingent after your retirement underdate circumstances. any annuitantand the option you choose. ations you shouldations the with discuss UC Administra Retirement including theincluding person for the eligible postretirement survivor but therecontinuance, some are legalconsider and financial Note: During election your retirement process, be for you will asked information about membersyour family order determine in to for the avoid postretirementeligibility survivor To continuance. survivor future adjustment any benefits, to and/or delay please identify survivorsbe eligible to sure potentially all the during election process. If you want to provideIf someone you to want monthly income a lifetime with after your death—separate from the postretirement survivor Tier members for 1976 justcontinuance described—you can elect one UCRP’s of a payment options naming by alternate can annuitant. be annuitant The anyone contingent contingent Your UC Retirement Benefits Retirement UC Your OPTIONS PAYMENT MONTHLY ALTERNATE benefitsand for UCRP benefits. See 23 page forto details, you’ve sure make established your partner’s for eligibility UCRP survivor benefits. 10

ChapterYour Title UC Retirement Benefits ChapterYour Title UC Retirement Benefits 11

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of 182.76, Smith’s lump 182.76, of lump Smith’s 2 ­—can your assets invest so that The lump sum cashout factors are based on age, and are subject change to as a the actuarial Plan’s changes in of result assumptions.

2 sum cashoutsum a one-time is payment $365,520. of $2,000 x 182.76=$365,520 IMPORTANT CONSIDERATIONS IMPORTANT The cashout sum lump generally is based on life average expectancy, longer you means if live that than which the cashout.average, sum your lump you could outlive Monthly income fromretirement UCRP your paid lifetime out over is no matter how long you live, and you if choose a contingent multiple paidannuitant, lifetimes. out over is it you confident lifetime, are Assuming average an you you live or your financial advisor earn 6.75 percent withoutthey consistently exposing you to unacceptable risk? you factoredHave the in medical cost of and dental coverage? If you elect the cashout, sum lump for UC- not you eligible are sponsored medical, dental, or legal a retiree. vision as coverage must choose betweenYou the cashout sum lump and monthly income.retirement If you elect the cashout sum lump you rights other all UCRPwaive to benefits except (seeCAP “What Forfeit”You on page 12). CASHOUTYOUR DATE the cashout is same Your date. date your retirement as Your benefitYour cashout is basedcalculationdate on that date. cannot be than the earlier firstof the day youmonth start the election process. Also, your cashout cannot be date earlier than the after day your separation (your date UC of last day employment).For example, your separation if a Friday, is date be cashout sum may your lump on Saturday. date EXAMPLE elects Smith Jim the cashout sum lump 60. age at Basic $2,000 is leave) sick income (excluding retirement per month. Assuming cashout sum a lump factor

, available online at at online , available As an alternative to monthly retirement income, 1976 Tier monthly income,As retirement to 1976 alternative an members choose be to may cashout eligible sum a lump of benefits.their retirement Thesum lump cashout is the “actuarial equivalent” the of present value a UCRP of member’s income. retirement other In lifetime words, a single is it expectedpayment is that be pay to to sufficient monthly adjustments income percent 2 cost-of-living with retirement expectancy, life average an over provided payment the single and invested were earned the assumed Plan’s earnings LUMP SUM CASHOUT 2 percent the of benefitamount. cashout. the sum your lump at yourate time take See the Fact Sheet Cashout Sum Lump ucal.us/lumpsumcashout, for more information, including In recent years, recent In the COLA annual generally has been about COLA = 2.75% 75% of CPI amount CPI of above 4%:75% x (5–4) .75 = .75% COLA first2% matches increase = of 2% CPI option. for this who eligible is CPI increase = 5% increase CPI The COLA based is the on in Index changes Consumer Price (CPI). The COLA 2 percent and the to a rise up in CPI matches 4 percent. of excess percent the in of CPI rise in 75 by increases Generally, the COLA annual not exceed may 6 percent. For example, the 5 percent, if were increase CPI theCOLA would be percent, 2.75 calculated follows: as COST-OF-LIVING ADJUSTMENTS (COLA) adjustment your first receive cost-of-living will You one from the or year with full follows July coincides 1 that your other In date. words,retirement on July 1, you if retire you will your firstCOLAreceive on thefollowing July you1, retire if but two wait to years foron your first have COLA. July 2, you will Generally, the COLA effective is reflectedand is 1 July in your August 1 benefit payment. you have. SERVICE CREDIT PURCHASE IN PROGRESS service making currently If you’re purchase credit payments and retiring, you should are check UC with Retirement Administration Service find to out what options Center - ). For the Designation of Designation of , available at at , available ) or form UBEN 117 ( Your BeneficiaryYour beneficiaryYour is the person, trust,charity otheror entity benefits receive you name to upon your death. These benefitsandinclude the UCRP/CAP Retirement UC Savings BeforeProgram (DC, your Plans). 403(b) and 457(b) retirement,you can name or your beneficiary(ies) change UCnet visiting by online for UCRP/CAP (ucnet.universityofcalifornia.edu) and signing in to UCRAYS submitting or form by UBEN 116 ( Beneficiary—Employees Beneficiary—Retirees,Employees and Former Others Savings Program,Retirement you can name or your change beneficiariesat netbenefits.comonline Fidelity by or calling ServicesRetirement 866-682-7787. at BENEFIT AND COVERED COMPENSATION LIMITATIONS COMPENSATION COVERED AND BENEFIT The income, monthly retirement basic CAP or balance sum lump benefits of somecashout UCRP members may restrictedbe by California Employees’ Public Reform Pension Act (PEPRA),UCRP, Code Revenue or Internal limitations. UCRP LIMITS Under UCRP rules, your benefit cannot be more100 than percent your HAPC. of affects limit This very few members, most least whom of at 40 have plan years retirement service of credit. PEPRA MAXIMUM With some exceptions, a member you if are UCRP the of 2016 the maximum a participant covered Tier Choice), Pension in (and counts that your pension toward pay) eligible compensation (or benefits with the maximum on consistent is pensionable earn ings under PEPRA. other maximum also applies many This to California public pension plans reviewed and and may is annually the $128,059.be maximum is adjusted. year, Plan For the 2021 If the PEPRA maximum applies you, the to to UC contributes DefinedContribution (DC) to fundsupplemental Plan a benefit faculty, and stafffor designated for eligible and other academic appointees who earn above the PEPRA maximum. For more information about the PEPRA maximum, that exceptions and the apply, DCmay supplemental Plan benefit, see Benefits Retirement Your A Complete to Guide ucal.us/guidetoretirementben.

, included in your retirement initiation packet., included initiation your retirement in postretirement survivor continuance contingent annuitant benefit temporarySocial Security supplement those (for under or 65) converted service leave sick to credit below) death paymentbasic (see Each allocation was calculated a percentage as covered of When UCRP member, a retired you provides die as a one-time your beneficiary(ies), to payment $7,500 of in any to addition monthly be income survivors may that payable your eligible to annuitant. If youor elect contingent the cashout, sum lump you forfeit the death payment. basic UCRP’s Capital Payment (CAP) Accumulation provides eligible members a supplement with their other UCRP to benefits. The CAP benefitis based allocationson credited were that on their behalf UCRP by 1992 in through 1994 and 2002 in and 2003. PAYMENT DEATH BASIC CAPITAL ACCUMULATION PAYMENT (CAP) PAYMENT ACCUMULATION CAPITAL Personalinclude Profile Retirement a will of statement Your your CAP can also findyour balance. You CAP balance online. Service Your Go UC UCnet At Retirement to to in and sign (UCRAYS). Then select “UCRP and CAP Balances” under must a distribution take your CAP of when You balance, any, if you elect monthly income cashout. or sum retirement a lump The CAP unless for subject rollover you are eligible is one to of the limits. Plan UC Plan See Notice for Retirement the Special Tax Distributions • • • • • UC-sponsored rights continue health all retiree waive also to You and welfare benefits,including medical, dental, vision, legaland accidental death and dismemberment (AD&D) insurance, you if elect cashout—even sum a lump 100 you if pay percent the of cost. addition, In staffto workat employees return UC not may appointment for one year, percent-time for more than a 43 policy to approved exception unless an is as the rehire (see “Returning UC after to Retirement” on page 25). compensation a specified paid during time period. & Savings.Retirement WHAT YOU FORFEIT YOU WHAT The cashout sum lump option does not include: Your UC Retirement Benefits Retirement UC Your 12

ChapterYour Title UC Retirement Benefits ChapterYour Title UC Retirement Benefits

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,

for more information. You will be will for more information. You MONTHLY RETIREMENT INCOME RETIREMENT MONTHLY general,In UCRP monthly benefits retirement subject are to federal and state them. taxes the you receive in year However, youif made the before Plan to contributions July 1, 1983, payments made for service after-tax and/or purchase, credit a you until nontaxable be part income will your retirement of portion your benefit, of and explain it how was any, if calculated. Each January, send UC will a tax-reporting form have recovered all previously taxed all recovered have amounts. your all Thereafter, income becomesretirement taxable. confirmation retirement showletter will the nontaxableYour 1099-R showing how income much you retirement received theduring preceding and how year much amount that of is taxable.is As part the of election retirement process, the have you will opportunity choose to your tax withholding status. UCRP will withhold only federal and California state taxes. If you move outside California, of you should your tax with advisor consult non-California payment any regarding of state income taxes. Please withholding note amounts automatic that not be may enough satisfy to your can obligations. ask You your monthly change UC payments time. to There any at penaltiesare enough for not paying taxes, either through withholding or estimated tax payments. LUMP SUM CASHOUT The cashout sum lump subject is federal to and state taxes in it.the you receive year If you made the Plan to contributions made contributions (member before basis on after-tax an been already taxes have purchase), paid on the portion the of cashout represents that those of a return contributions. This part the of cashout nontaxable is distributed and separately is from the taxable part. Both the taxable and nontaxable portions the cashout of sum lump be for may rollover, eligible unless a portion required the of distribution a “minimum is distribution” under federal case, that tax In law. the portion UC See Notice for cannot be the Special rolled Tax over. Distributions Plan Retirement choose to asked your withholding options when you elect a cashout. (CAP) PAYMENT ACCUMULATION CAPITAL CAPAny distribution taxable is distributed. is the it income in year Distributions UC Plan See Notice for Retirement the Special Tax for additional details about your options and income tax withholding. July 1, payments 1983, for a service or after-tax credit

UCRP/CalPERS Reciprocity UCRP/CalPERS , which you’ll receive with your your with you’ll, which receive UCRP/CalSTRS Concurrent Retirement Retirement Concurrent UCRP/CalSTRS for information about eligibility and resulting UCRP for information about and resulting eligibility for information about eligibility, reciprocal benefits for information about eligibility, Following is a brief is Following summary tax of apply that provisions to monthly income, retirement the cashout sum lump and the Capital Payment (CAP). Notice for Accumulation The Special Tax Distributions UC Plan Retirement Packet, Initiation providesRetirement additional tax information. If you have serviceIf you have the with California Employees’ Public TAXES UCRP includes possible benefit enchancementsfor members servicewho also have CalPERS with credit or CalSTRS. Fact Sheet benefit from retire enhancements.to UCRPYouand do have not CalSTRS on the be for same concurrent retirement. to eligible date you if for concurrent retirement lose eligibility will, however, You earn service under credit UCRP or CalSTRS after from retiring plan.either OTHER RETIREMENTOTHER PLANS serviceIf you have Retirement the ’ with California State (CalSTRS),System see the IRC on §415(b) the benefits places maximum total a limit calendarpayable any from in a defined year benefit such plan based, is The limit part, in UCRP. as on the member’s age. For example, $230,000. 62 and for age older is the 2021 limit in The Restoration Plan—a nonqualifiedUniversity California of 415(m) pension plan—became effective Jan. 2000,1, to pay benefits wouldthat not otherwise be payable because the of §415(b) limit. If your UCRP benefits are affected by limit,the§415(b) you Restoration additional receive information aboutwill the 415(m) from thePlan UC Administration Service Retirement Center. not Restoration be will Plan applicable to Generally, the 415(m) employees who subject are the PEPRA to maximum. see the (CalPERS), System Retirement Fact Sheet and If establish how eligible, youmust to reciprocity. retire under UCRP and CalPERS on the same for the date benefits of separate benefits receive retirement You reciprocity apply. to from each system. INTERNAL REVENUE CODE LIMITATIONS REVENUEINTERNAL CODE setsIRC upon earnings §401(a)(17) forannual a dollar limit benefits retirement total which contributionsand may be based. For example, Jan. beginning the 1, limit earnings 2021, is $290,000 for employees who became members of as July 1, 1994, For those whoactive were or later. members before July 1, 1994, $430,000. is the limit earnings -

. You will receive an IRS an receive will . You The year in which you leave UCThe you leave which employment in year or born (if 70½ age The you turn which in before year July 1, 1949) or 72 age born (if on or after July 1, 1949) You roll over the over distribution roll You UC leave employment or during afterYou the you reach year 55 age purchase through a third-party a life You insurance contract permanently are disabledYou under IRS rules distribution used is for deductibleYour medical expenses percent your adjusted of income gross 7.5 of excess in beneficiaryYour withdraws the moneyafter your death accordance in payee alternate an distribution paid to is Your a qualifiedwith domesticrelations order. tion and avoid possible penalties by rolling over within 60 possibletion and within days avoid over penalties rolling by an amount no than greater the amount of the defaulted IRA an into or employer an plan accepts that rollovers. After retirement, you cannot borrow from your 403(b) account. Plan arrange Fidelity with Services Retirement monthly continue to payments the repay loan or full. to in Call Fidelity Retirement action If you do any not take Services within 866-682-7787. at 90 your separation of days be date, a your loan as will treated 403(b) distribution, Plan subject federal to and state income taxes applicable and any penalties. can defer taxa current You 403(b) Plan Loan Program a 403(b)If loan you have Plan when you you retire, may However, you cannot you your money leave in the plansHowever, begin taking you minimum laws to require indefinitely. Tax distributions April by the 1 following latter of: • • learn more about your options,To contact Fidelity Retirement Services myUCretirement.com at or 866-682-7787. TAXES distributions Plan and the taxableAll 403(b) and portion 457(b) of DC distributions taxed Plan are ordinary as the in income in year which you them receive unless you roll the money IRA an into over or employer plan accepts that rollovers. See Notice the Special Tax Distributions UC Plan for Retirement form 1099-R from Fidelity Services Retirement reporting any distributions issued the during calendar year. addition,In a taxable you if receive distribution from your DC before orPlan 403(b) be account may 59½, Plan you age it reach subject early distribution penalty to taxes percent federal, (10 2.5 addition income regular in tax. to percent California) The penalty taxes apply unless least at one met: these of is criteria • • • • • • • See the summary plan description for the appropriate plan, available on UCnet, for more information. strongly recommend We you that a qualifiedconsult tax advisor final any before decisions.making Take a full or a full partial distribution.Take Subject rules Plan to and deadlines, processing you can request or a full partial distribution can this have distribution paid to You of your money. you or IRA you an can arrange to a rollover or another employer plan accepts that rollovers. less If you than have $2,000 any in Plan, distribution you must a full from take Plan. that your money least at Leave If $2,000 in the you have Plan(s). thein DC Plan, Plan, the you can 403(b) Plan, or the 457(b) your moneyleave on deposit plan. that in As a retiree, you the plans, to cannot contribute but you can transfer your money among the funds investment and distributions— take subject plan rules to and federal regulations. a If you receive CAP cashout, sum a lump distribution and/or you can roll also your UC money that plans.over into Elect take systematic to withdrawals of your money in the Plans. option This enables periodic receive you to make distributions balances to from without your Plan having a separate request for each distribution. ChooseDeferred Lifetime Income, a type deferred of income annuity known a Qualified as Longevity AnnuityContract (“QLAC”), for monthly payments and 78 begin that age at use be to may eligible for the restcontinue your You life. of a portion your RSP of option purchase during this to balance the election annual window a UC you’re if employee or retiree between a Social with Security the 62 and of ages 69, or tax ID number and a permanent U.S. address. need mailing You’ll beto a primary holder account the in UC Savings Retirement least at of balance Program $40,000 a combined with account 403(b), and DCacross the Plans. UC 457(b), UCRP member between 1990 and 2010 Safe Harbor participant who for was the not eligible Choice ProgramRetirement or UCRP Participant Savings Choice in Participant Choice who Pension for in a was eligible supplemental DC Plan Pretax Account Your UC Retirement Benefits Retirement UC Your 14 • • • • When several you you retire, options have for your Retirement Savings Program can: accounts. You Future income from the Savings Program Retirement plans is Future based solely on the amount money of contributed, plus any can find balances on yourearnings. account You myUCretirement.com. • • • • For more information about the DC Plan, see ucal.us/contributionplan. Many UCMany employees voluntary make the 403(b) to contributions account. In the DC after-tax Plan and/or Plan Plan, the 457(b) addition, made have mandatory you may the to contributions DC Plan—Pretax you a: if were Account UC RETIREMENT PROGRAM SAVINGS

ChapterYour Title UC Retirement Benefits ChapterYour Title UC Health & Welfare Benefits 15

(five yearsfor (five Safety members). 3 You retire at age 55 or later and you have at least at andyears five or you of have later 55 age at retire You UC service credit. You retire before age 55 and have at least at years UC and of 10 have before retire 55 age You service credit LANL and LLNL Retirees The information about healthand welfare plans on pages 15–20 does not apply you. to Contact your local Benefits Office for information about your health and welfare benefitsretiree. as a Service credit may include service credit for sick leave or service credit purchased for leave, furlough, temporary layoff, , extended sick leave, TRIT, orTRIP, for a period for which you received a refund. See “Sevice Credit Purchase” the appropriate in UCRP summary plan description.

3 • SERVICE CREDIT REQUIREMENTS FOR HEALTH AND AND REQUIREMENTS HEALTH CREDIT FOR SERVICE INSURANCE WELFARE orderIn be for health to and eligible a retiree, welfare as insurance you must meet the UC health retiree service requirements credit based on you enrolled the UC date in primary benefits retirement or became a member after rehired were UCRP of a in (or service 120 of or days longer). Only UC service counts credit for these eligibility healthtoward and welfare benefits.(Service fromcredit a reciprocalsystem, CalPERS, as such a non-UC as employee affects retirement plan only benefits.) subject for health retiree are Provisions collective to Representedbargaining. employees should their to refer contract for information. for contract that,Please for note 100 eligible you if are even percent UC’s of contribution medical to dental plan and/or premiums, not may this due. premium the entire cover If became you a UCRP member before Jan. 1, 1990, and you service not had covered a breakhave in more of than 120 days, 100 receive you will percent UC’s of the toward contribution medical if: and/ eligible or are dental plan’s monthly premium. You • Be active an employee eligible enrolled either UCRP in or Savings Choice Choice) Pension (including Meet the service requirements eligibility credit for UC right) at (see coverage Be for UC-sponsored eligible when UC coverage you leave employment; for dental, medical you must and/or be enrolled either or UCin other coverage qualifying non-UC coverage for the or, at retirement of Elect time coverage continue to dental,medical suspend and/or because UC coverage other of qualifying coverage 120 within is that calendar date a retirement of Have days your separation from UC Savings employment Choice (for participants, health your retiree benefits the date coverage purpose) for this date be your retirement as begins will treated and from your separation of the coverage date continuous Have youruntil retiree insurance begins your dependentsIf you and/or in enroll or older, 65 are Medicare for Part premium-free eligible if A, or submit lettera denial from Social Security. for If eligible you are Medicare under current, eligible an former or deceased spouse, UC you that enroll. requires If you are not eligible to continue health and welfare continue as insurance to If not you eligible are a retiree, see “Other Options” Continuation Coverage on page 20. • • • • • • • If between time a gap there in is on your last active day and pay the cost pay for your full to have date, you may your retirement monthly medical and in dental UC’s plans (including contribution) retirement. into eligibility continue and to covered order remain to the that (Please note gap must be less than 120 days, or you will for health retiree lose and welfare eligibility benefits.) To be eligible to continue your UC Health continue be and (medical, to Welfare eligible To dental, AD&D you vision, must legal meet and/or the coverage), criteria: following UC offers currently of medical,continuation dental, vision, legal, pet and accidental death and dismemberment (AD&D) insurance those health and who eligible, when are to they However, retire. entitlements. benefit welfare benefitsvested are not accrued or UC’s the toward contribution monthly cost of medical and dental determined UC is or by change stop and altogether. coverage may permanently rights continue all UC-sponsored waive to You medical,retiree dental, vision, legal and AD&D benefitsyouif elect cashout sum a lump or refund a full Savings or of rollover beforeChoice accumulations health retiree benefits beginning “Other(see Options” Continuation Coverage on page 20). ELIGIBILITY CONTINUE TO ANDHEALTH BENEFITS WELFARE Your UC Health & Welfare Benefits & Welfare Health UC Your Your UC Health & Welfare Benefits Your UC Health & Welfare Benefits

If you became a UCRP member on or after Jan. 1, 1990 and If you enrolled in UC primary retirement benefits on or after before July 1, 2013, or were rehired after Jan. 1, 1990, following July 1, 2013, you are eligible to enroll (and pay the full premium) a break in service of more than 120 days, you are eligible and will provided you are 50 or older and have at least 10 years of retiree receive a percentage of UC’s contribution toward the medical health service credit at the time you retire. If you retire at age 56 and/or dental plan’s monthly premium. You must retire at age 50 or older, you will receive a percentage of UC’s contribution or later and have at least 10 years of service credit or meet the toward monthly premiums based on your age and years of service “Rule of 75.” The percentage of UC’s contribution you will receive credit at retirement. is determined by your years of UCRP service credit as follows: To receive the maximum UC contribution, you need to retire at age 65 with 20 or more years of service. Years of Member’s Percentage of UC Contribution UC Service Credit** The chart below shows the percentage of the UC contribution 5–9 Rule of 75: If age plus years of service for all eligible ages and years of service credit. credit equal at least 75, then 50%; otherwise not eligible. This chart also applies to you if you have a break in service of more than 120 days after July 1, 2013. 10 50%

11–20 Increases in 5% increments per year from 55% at 11 years to 100% at 20 years

** Only whole years of service credit are considered.

AGE* YEARS OF SERVICE CREDIT AT RETIREMENT

10 11 12 13 14 15 16 17 18 19 20+

50–55** 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%

56 5.0% 5.5% 6.0% 6.5% 7.0% 7.5% 8.0% 8.5% 9.0% 9.5% 10.0%

57 10.0% 11.0% 12.0% 13.0% 14.0% 15.0% 16.0% 17.0% 18.0% 19.0% 20.0%

58 15.0% 16.5% 18.0% 19.5% 21.0% 22.5% 24.0% 25.5% 27.0% 28.5% 30.0%

59 20.0% 22.0% 24.0% 26.0% 28.0% 30.0% 32.0% 34.0% 36.0% 38.0% 40.0%

60 25.0% 27.5% 30.0% 32.5% 35.0% 37.5% 40.0% 42.5% 45.0% 47.5% 50.0%

61 30.0% 33.0% 36.0% 39.0% 42.0% 45.0% 48.0% 51.0% 54.0% 57.0% 60.0%

62 35.0% 38.5% 42.0% 45.5% 49.0% 52.5% 56.0% 59.5% 63.0% 66.5% 70.0%

63 40.0% 44.0% 48.0% 52.0% 56.0% 60.0% 64.0% 68.0% 72.0% 76.0% 80.0%

64 45.0% 49.5% 54.0% 58.5% 63.0% 67.5% 72.0% 76.5% 81.0% 85.5% 90.0%

65 50.0% 55.0% 60.0% 65.0% 70.0% 75.0% 80.0% 85.0% 90.0% 95.0% 100.0%

To find the UC contribution for a particular age and number of years of service credit, look down the far left column for the appropriate age; then look across that row to the number of years of service credit. That will show the percentage of the maximum UC contribution that a retiree at that age and with those years of service credit will receive. Example: with 15 years of service credit at age 60, the retiree receives 37.5% of the maximum UC contribution.

* Age is measured in whole years. ** Those who retire between ages 50 and 55 are eligible to enroll in UC-sponsored for retirees but will not receive a UC contribution.

16 Your UC Health & Welfare Benefits 17 Subject to graduated to graduated Subject 50% of receiving eligibility; contribution UC $575 $225 $350 to graduated Subject 50% of receiving eligibility; contribution UC $250 $175 $75 0 MEDICARE There three are parts Medicare. to They hospital are insurance (Medicare Part A), medical insurance (Medicare Part and B), prescription drug insurance (Medicare Part D). Medicare Part financedby taxes, A is payroll and you are if based it receive on to your own oreligible your spouse’s employment, during contributions you do a premium. not pay Medicare Part a monthly B has premium, usually is which deducted from your Social Security check or you billed to monthly to premium responsible this are pay to You quarterly. Social Security UC addition medical any in to plan premiums. Here examples are how of the UC applied is contribution to medicalretiree benefits. The numbersillustrative for are purposes and not actual are or contributions. premiums only, general,In the maximum UC does contribution the not cover cost for non-Medicare premium entire or some Medicare plans. The difference would be deductedyour from check. pension Subject to graduated to graduated Subject 75% of receiving eligibility; contribution UC $575 $337.50 $237.50 to graduated Subject 75% of receiving eligibility; contribution UC $250 $262.50 0 $12.50

$575 $450 $125 100% of for Eligible Contribution UC $250 $350 0 $100 Eligible for 100% of 100% of for Eligible Contribution UC available online at ucal.us/medicarefacts at online available for important you pay for Medicare coverage. Part Your B premium is usually a deduction from your Social Security benefit. * If UC’s contribution your to medical plan is greater than the premium, UC reimburses you in your pension check for a portion of the standard Medicare Part B premium In order to receive the orderIn receive Medicare to rate, provided you must have Medicare-relatedall UC forms prior to start your insurance to date, subject deadlines. processing to See the Fact Medicare Sheet information. MEDICARE PLAN NON-MEDICARE PLAN Currently UC contributes to the medical cost of to UCCurrently contributes and dental retirees. for eligible premiums The amount the of contribution depending determinedis on annually, state funding and other factors. The be monthly to different costs than the likely are amounts employee. an as you pay AND PREMIUMS DENTAL UC’S CONTRIBUTION TO MEDICAL TO UC’S CONTRIBUTION Total monthly premium Total Contribution UC monthly premium Your monthly premium Total Contribution UC monthly premium Your B reimbursement* Part Medicare Your UC Health & Welfare Benefits Your UC Health & Welfare Benefits

Most UC medical plans coordinate with Medicare Part D, so you IF YOU RETIRE OUTSIDE OF CALIFORNIA AND ALL FAMILY do not need to enroll in a separate drug plan outside of UC, unless MEMBERS ARE ELIGIBLE FOR MEDICARE you are enrolled in the UC Medicare PPO without Rx plan. If you do enroll in a separate Part D plan in addition to UC’s, you may UC provides Medicare-eligible retirees and their Medicare lose your UC medical coverage; Medicare allows only one Part D family members who live outside California access to a variety plan per member. Some higher income individuals may have to of Medicare plans through a Medicare exchange. This approach pay an additional premium for Part D. This payment is required by is intended to offer retirees more choice, more value, more Medicare to continue your prescription drug coverage. flexibility and more personalized support.

If you are enrolled in a UC-sponsored medical plan after retirement The Medicare exchange allows covered family members to choose and you or any of your enrolled family members become eligible an individual plan that’s best for them. That includes Kaiser, if for Medicare Part A free of charge, UC requires that you (or your available in the retiree’s location. With the growing market for family members) enroll in Medicare Part B. If you do not enroll, individual plans, you could have more choices, many of which UC will charge an offset penalty and could terminate your could meet your needs better than the UC plans currently medical insurance. available to you.

If you are a new retiree age 65 or older or eligible for Medicare due Plus, UC will provide an annual contribution under an HRA— to disability, you can apply for Medicare up to 90 days before you health reimbursement arrangement—to pay toward medical retire. You must enroll in and assign your Medicare to your UC premiums and expenses. In most cases, the HRA funds will cover plan no later than the month prior to the date you start retiree the cost of the premiums as well as some additional out-of-pocket insurance. (To assign your Medicare benefits to your UC plan, you’ll costs and Medicare Part B premiums. If Medicare-eligible family need to fill out a form. See the Medicare Fact Sheet, available at members—such as a spouse or domestic partner—are covered, ucal.us/medicarefacts, for details.) For example, if you retire on UC will contribute to the HRA for them as well. The HRA contribu- July 1, you will typically start retiree insurance on August 1; you tion is subject to graduated eligibility rules. should therefore enroll in and assign Medicare to your UC plan To be eligible for this program, you and all covered family by your July 1 retirement date. Once you are enrolled in a members must: UC-sponsored medical plan for Medicare enrollees, UC may reimburse some or all of your Medicare Part B premium if the • Be 65 and eligible for and enrolled in Medicare Parts A, B and D monthly UC contribution is greater than the cost of your plan. • Have a home address outside California on file with UC For more information about UC’s Medicare requirements, see the • Be eligible for UC retiree medical insurance Medicare Fact Sheet, available online at ucal.us/medicarefacts or from the UC Retirement Administration Service Center. You are not eligible for this program if you are a recipient of UCRP Disability income, or if your eligibility for Medicare is due For Medicare enrollment and eligibility information, call Social to a disability such as end renal disease (ESRD). Security at 800-772-1213. You can also find Medicare information online at www.medicare.gov. To assist retirees, UC has retained Via Benefits, a specialist in helping retirees choose individual Medicare plans and providing SUSPENDING MEDICAL AND DENTAL COVERAGE support after enrollment, including help with coverage, claims If you have other non-UC medical or dental coverage at the time and network questions. UC believes this arrangement with you retire (that is equal to or better than Medicare’s), you can Via Benefits provides retirees outside California with improved suspend your UC retiree medical and/or dental coverage and benefits and service. re-enroll at any future Open Enrollment. If you involuntarily lose your other coverage and had suspended your UC-sponsored To qualify and maintain eligibility for HRA funding, you must coverage, you may re-enroll in UC-sponsored medical and/or continue paying your Medicare Part B premiums to Social Secu- dental insurance within 31 days of the loss of coverage. You rity and enroll through and work with Via Benefits to make any must provide coverage information and proof of loss of your changes to your medical plan at all times. Working directly with a other coverage. Contact the UC Retirement Administration carrier, except with Kaiser Permanente, will terminate your HRA Service Center to suspend or unsuspend this insurance. funding. If you enroll with Kaiser Permanente, please call Via Benefits to let them know.

For currently enrolled Via Benefits members, Open Enrollment occurs annually in the fall, during the Medicare Open Enrollment period (October 15 to December 7).

18 Your UC Health & Welfare Benefits

Eligibility for the Medicare Coordinator Program is determined Insurance Plan. You must be actively at work on the day prior to on a monthly basis. If you and/or your family members are separation from employment to be eligible for portability, and identified as potentially eligible for this program—either dependents must not be confined for medical treatment or care at because you’ve aged into Medicare or because you’ve moved home or in the hospital on the day prior to your separation. out of California—you’ll receive a mailing from Via Benefits explaining your options and how to enroll, as soon as the last If you choose the portability option, your benefits will be person on medical plan coverage becomes Medicare-eligible. reduced to 60 percent at age 65, 50 percent at age 70, and will end at age 80.

Conversion means you convert your UC group term life policy to OTHER UC-SPONSORED INSURANCE an individual whole life policy.

In general, you may continue or convert coverage in the following For the appropriate conversion or portability application form, plans within 30 days of the date your employee coverage ends. contact the UC Retirement Administration Service Center or your local Benefits Office. LEGAL INSURANCE If you are enrolled in the legal plan as an active employee, you SUPPLEMENTAL HEALTH PLANS may elect to continue coverage when you retire and elect monthly Your supplemental health plan coverage stops when you go off retirement income. You pay the entire premium as a deduction pay status, but you have the option to port (buy and pay for) from your pension check. If you elect the lump sum cashout, you the coverage for yourself and your participating dependents, forfeit your right to continue UC legal insurance coverage. with the same benefits and premium rates as your UC coverage. You’ll pay your premiums directly to Aflac. VISION INSURANCE If you are enrolled in the vision plan as an active employee, AUTOMOBILE AND HOMEOWNER/RENTER INSURANCE you may elect to continue coverage when you retire and elect You may continue coverage by arranging to pay premiums directly monthly retirement income. You pay the entire premium for to the insurance company. Contact the company directly for coverage directly to the vision plan carrier. They will send you more information (see page 26). information about retiree enrollment after your separation date. PET INSURANCE ACCIDENTAL DEATH & DISMEMBERMENT (AD&D) You may enroll in pet insurance at any time, before or after You may enroll in Accidental Death & Dismemberment insurance retirement. Since you pay premiums directly to the insurance at any time as long as you choose to receive a monthly retirement company, your coverage will continue automatically after you benefit. You pay the full premium directly to the carrier. To enroll, retire until you choose to discontinue it. Contact Nationwide at complete the enrollment form for retirees, available on UCnet petinsurance.com/uc or 877-738-7874 for more information or (ucnet.universityofcalifornia.edu) or from the UC Retirement to enroll. Administration Service Center. Send the completed form and the premium payment directly to the carrier.

BASIC LIFE, CORE LIFE, SUPPLEMENTAL LIFE, COVERAGE THAT STOPS DEPENDENT LIFE UC HEALTH SAVINGS PLAN (HSP) AND MEDICARE When you retire, you can continue benefits. You ENROLLMENT have different options depending upon the plan. Due to IRS guidelines, once you enroll in Medicare, you will no Basic or Core Life Insurance benefits can be converted to an longer be able to continue your UC Health Savings Plan individual whole life plan with Prudential, UC’s life insurance carrier. enrollment. However, if you have remaining funds in your health savings account, you will be able to use them for eligible Supplemental Life Insurance benefits can be converted to a expenses post-retirement. whole life plan or carried over to the Prudential Portability group term life plan. Group term life insurance plans have slightly BASIC AND VOLUNTARY DISABILITY PLANS lower premiums than individual whole life plans. Disability coverage stops your last day actively at work before your retirement date. If you remain on pay status (using vacation Dependent Life Insurance coverage also has both the portability to your retirement date) after your last day actively at work, you and conversion options. must complete a cancellation form to stop premium deductions for the Voluntary -Term and/or Long-Term Disability Plans. Portability means your UC group term life policy is converted to a Otherwise, you will be paying for coverage that has stopped. Prudential group term life plan. However, portability is available only if you also elect portability of your Supplemental Life 19 Your UC Health & Welfare Benefits Your UC Health & Welfare Benefits

DEPENDENT CARE REIMBURSEMENT You may submit claims for funds in your account until the ACCOUNT (DEPCARE) deadline for the plan year. You may be able to continue Contributions to your DepCare account stop when you go off participation under COBRA through the end of the plan year pay status. You may continue to file claims for funds still in by making direct, after-tax payments to your account. Some your account until the filing deadline for the plan year, but the retirees elect this option in order to be sure they are able to use expenses you claim must have been incurred while you were on all the funds they have in their account for the plan year. Call pay status. Any funds left in your account after the filing deadline the FSA administrator for more information (see page 26). will be forfeited. COBRA option is not available for this plan. For more information, see the UCnet website (ucal.us/COBRA). TAX SAVINGS ON INSURANCE PREMIUMS (TIP) INDIVIDUAL POLICY CONVERSION OPTIONS TIP allows employees to pay certain insurance premiums before If you do not elect group medical coverage under COBRA, you taxes are taken from their pay. This option is not available to may convert your coverage to an individual policy, if available. retirees per IRS regulations, so it stops with your last paycheck. If you elect group medical coverage under COBRA, you can WORKERS’ COMPENSATION AND BUSINESS TRAVEL convert to an individual policy only at the end of the full COBRA ACCIDENT INSURANCE continuation period, and only if you maintain the coverage Coverage under these plans stops the last day you are actively throughout this period. You may also convert your group legal at work. coverage to an individual policy (see page 19). (Dental and vision coverage cannot be converted to individual policies.)

If you are not eligible for Medicare, you may also consider OTHER COVERAGE CONTINUATION OPTIONS medical insurance through the health care marketplace. In California, visit coveredCA.com or call 800-300-1506. COBRA CONTINUATION If you or an eligible family member loses eligibility for medical, dental or vision coverage, or for the Health Flexible Spending OTHER INFORMATION ABOUT RETIREE HEALTH AND Account, you may be able to continue coverage through COBRA WELFARE BENEFITS (Consolidated Omnibus Budget Reconciliation Act of 1985). You have 60 days from the date of the qualifying event (your last day IMPUTED INCOME of UC employment, for example), or the date you receive notice Unless you claim your domestic partner or your partner’s child of your continuation rights, whichever is later, to enroll. or grandchild as your income tax dependent(s), UC’s contribution The federal COBRA period runs for 18 months; if you have toward medical and/or dental coverage for them is considered exhausted this coverage period, you and/or eligible family your imputed income. It is subject to FICA (Social Security and members may be able to extend your UC-sponsored medical Medicare) and federal and state income taxes. Exception: If your coverage under CalCOBRA for up to an additional 18 months, partner’s child is considered your stepchild under state law, depending on your medical plan. CalCOBRA is not available imputed income will not apply. See the Benefits for Domestic for UC Care and Core. These options, though, tend to be more Partners booklet for more information. expensive than continuation through UC. IF YOU MOVE Deadlines: If you want to continue benefits via COBRA, you Here are a few important reminders if you move: need to apply no later than 60 days from the date you lose coverage by reason of a qualifying event, or 60 days from the • Make sure to update your home address on UC Retirement At date you receive notice of your continuation rights—whichever Your Service (UCRAYS) as soon as possible, so you continue to is later. Talk with the UC Retirement Administration Service receive important information from UC. Center about how to apply, or go to ucal.us/COBRA. • If you are enrolled in a UC-sponsored HMO and move out of the plan service area, you must enroll in another plan that HEALTH FLEXIBLE SPENDING ACCOUNT provides service in your new location within 31 days. You may Your participation stops at the end of the pay period in which also need to select a new primary care physician. your last contribution is deducted from your pay. You may submit • If you move outside of California, your coverage options may claims for eligible expenses incurred through your last day of change. See page 18 for more information. plan participation. Expenses incurred after that date are not eligible for reimbursement. • If you move outside of the United States, please contact the UC Retirement Administration Service Center regarding coverage under your current insurance plans and Medicare.

20 The Retirement Process The Retirement Process

BE PREPARED INITIATE YOUR RETIREMENT

The retirement process takes about 3–4 months. Everything You can process every step of your retirement online through will go even more smoothly if you take care of the steps below UCRAYS. To learn more about how to register, log in and use before you initiate your retirement. UCRAYS, visit Frequently Asked Questions about UCRAYS at ucal.us/ucraysfaq. You can complete the steps to retire by mail • Notify your department. Academic and staff employees or fax if you prefer, but the process may take longer. Please do should notify their department manager about their decision not submit more than one request—multiple requests may slow to retire three months before the retirement date. down your retirement process. • Contact your tax advisor or . We strongly Contact the UC Retirement Administration Service Center or recommend that you discuss your with a professional your local Benefits Office if you need help along the way. who can help you establish your long- and short-range goals. Visit myUCretirement.com if you’d like to make an CREATING YOUR PERSONAL RETIREMENT PROFILE (PRP) appointment with a Fidelity Retirement Planner. ON UCRAYS • Be sure that your beneficiary designations are up-to- Within 90 days of your retirement date, log in to UCRAYS and: date. You can update your UCRP and AD&D beneficiaries on UCRAYS, and your 403(b), 457(b) and DC plan beneficiaries • Select “Retirement” from the home screen, then “Initiate & through your NetBenefits account on myUCretirement.com. Elect UCRP Retirement,” then “Create a New PRP” • Look into other retirement benefits for which you may • Follow the prompts to provide the necessary information be eligible. • After you’ve reviewed, select “Create PRP” (or select “Cancel” –– Check your NetBenefits account for your balances in any to begin again) UC Retirement Savings Program (DC, 403(b) and 457(b)) plans. If your PRP was successfully created, you’ll receive a transaction number and have the option to print the PRP or send it to your –– Visit the Social Security website (ssa.gov) or contact your UCRAYS account as a secure message. local Social Security office to check your eligibility for Social Security and Medicare benefits. The website is filled Please note: You may receive a message that your PRP requires with valuable information about Social Security benefits, additional review from the UC Retirement Administration application procedures and Medicare. If you are married Service Center. Don’t worry—the information you provided will or divorced, you may be eligible for Social Security and/or be reviewed by a representative, and you’ll receive a UCRAYS Medicare benefits based on your spouse’s work record. secure message when your PRP is available (usually within –– Contact past employers and, if appropriate, the military to 5–7 business days). find out whether you qualify for retirement income under REQUESTING YOUR PRP BY MAIL OR FAX their plans. UCRP includes possible benefit enhancements for members who also have service credit with the If you prefer, you can submit a Request for a Retirement California Public Employees’ Retirement System (CalPERS) Initiation Packet form by fax to 800-792-5178 or by mail to: or the California State Teachers’ Retirement System UC Retirement Administration Service Center (CalSTRS). If this applies to you, see the UCRP/CalPERS P.O. Box 24570 Reciprocity Fact Sheet or the UCRP/CalSTRS Concurrent Oakland, CA 94623-1570 Retirement Fact Sheet, available on UCnet, for more information. UNDERSTANDING YOUR PRP • Gather any documentation you’ll need to provide. See Your PRP will include your UC retirement details, including your page 23 for details about official documents you may need— retirement income options, your eligibility for retiree health such as birth or marriage certificates or documentation of insurance and the percentage of UC’s contribution to retiree your domestic partnership. Obtaining records can be time health premiums you’ll receive, if applicable. consuming, particularly if the records must come from foreign countries or rural regions of the U.S. By acting early, you can Once your PRP is complete, talk with your family and a trusted prevent delays later. financial advisor. Your election of monthly retirement income or a lump sum cashout, if available, is a big decision; so it’s important that you understand your options. UC Retirement Administration Service Center representatives can answer any questions you have about your PRP, UCRP benefits and UC-sponsored health and welfare benefits.

21 The Retirement Process The Retirement Process

ELECT YOUR RETIREMENT FINALIZE YOUR RETIREMENT ELECTION

FROM UCRAYS Once you have successfully submitted all required documen- • Select “Retirement” from the UCRAYS home screen, then tation, it will take about 45–60 days for the UC Retirement “Initiate & Elect UCRP Retirement,” then “View PRP/Elect Administration Service Center to finalize the calculation of your Retirement” benefit, prepare your retirement confirmation letter and send it to you via UCRAYS secure message. Your confirmation letter • Follow the prompts to make important decisions about your will be sent via U.S. mail if you do not have an active UCRAYS retirement benefits account. • Upload any documentation that’s required (see page 23 for details) You can check the status of your retirement on the Retirement Application Progress tracker on the UCRAYS home page. If your After you’ve reviewed your election choices, check the box if retirement process requires special calculations or review, it may you’d like to sign and submit your election letter electronically— take longer than is outlined here. or leave it unchecked if you’d rather print, sign and submit a paper election letter by mail or fax. Note: If you die before the UC Retirement Administration Service Center receives your retirement election form, your Either way, your spouse or domestic partner (if you have one) retirement election will not be effective and may affect any will need to sign as well. beneficiary payments. See Your Guide to Survivor and Beneficiary Benefits for Family Members and Beneficiaries of Active UC BY MAIL OR FAX Employees, available online at ucal.us/survivorhandbook for If you initiated your retirement by mail or fax, you’ll receive a more information. PRP by mail. You can follow the steps above to elect your retirement on UCRAYS, or you can complete the election worksheet included with your PRP and return it to UC through UCRAYS (using ‘Upload Documentation’) or by mail or fax.

After your Election Worksheet has been processed, you’ll receive your election form to sign and return with any required documents.

The UC Retirement Administration Service Center will review your signed election form and supporting documentation and will reach out to you if additional documentation is needed.

22 ChapterThe Title Retirement Process 23

Please note: enrolled If you have your domestic partner in health benefitscompletedand successfully theverification process, your partnership been already has established and no further documentation required. is If you enrolled your partner benefits in verification, eligibility did require that not will be you providerequired evidence to your partnership. of For more information about and benefits eligibility for Domestic Partners booklet, on available the UCnet website (ucnet.universityofcalifornia.edu/forms). MEDICARE If you or member a family enrolled for is or Medicare eligible in theat your retirement, of time must in, person(s) enroll that their Medicareassign UC and to be approved Medicare by before they can participate UC’s in group Medicare plans. You can start process Social with this Security three months before either person. or online in date your retirement Social Security of a Verification require Benefitsmay form asproof of your employeecurrent medical form included This coverage. is your in UCRP packet. retirement EVIDENCE ADDITIONAL If you, your spouse, your domestic partner or contingent annuitant changed have names and the documentation you doessubmit not clearly identify the person, additional evidence bemay required. additional This include evidence a copy might a courtof order showing the name a marriage of change, a copy certificate decree, divorce or or a statement fromnotarized the person the change. name explaining when youIf, elect monthly income, retirement that you indicate dependent disabled eligible an and/or you have child parent, you must pertinent of also provide a copy parts your most of recent federal income verify tax to return tax dependency. domestic partners UC of employees, see the Benefits for -

Declaration of Domestic of Declaration Partnership UC Purposes for of (showing date or age at certain or at age date year) (showing Military record Birth certificate Passport Certificate of naturalization – – – – Retirement Plan Benefits Plan Retirement (UBEN 250) both signedby partners and two supporting documents. acceptable of (A list documents on the is form.) Copy of California of Copy state form filed with the Secretary State of or equivalent an form from another state, or no if state form, UC Marriage certificate Passport be passport joint (must and issue) of show date page) Joint tax the (including signature return Required for your contingent annuitant if you if elect annuitant Required for your contingent a monthly payment option for you name which alternative a retirement contingent annuitant. Required for you a discrepancy there if is between of the date birth UC in records and birth of the date you report when you yourmake election. for post-retirement eligible children Required for any survivorbenefits Acceptable forms birth of evidence include: – – – – • • Acceptable forms partnership of evidence include: • • • EVIDENCE PARTNERSHIP DOMESTIC a domesticRequired you if have partner and you elect monthly income. retirement Acceptable forms marriage evidence of include: MARRIAGE EVIDENCE Required married you if are and you elect monthly income. retirement BIRTH EVIDENCE • • • • During the election retirement process, be you to may asked provide some documentation. Below the are general require ments for birth, marriage and domestic partnership evidence. UC reserves proof require the of to right identity and/or verification do not needbefore original payments. submit making You to documents. suffice. A legible will copy Altered documentswill not be accepted. REQUIRED DOCUMENTATION REQUIRED After You Retire After You Retire

Many things will change for you when you retire from the In addition, UC Berkeley, UC Davis, UC Irvine, UCLA, UC San University of California, but you remain a valued member of Diego, UC Santa Barbara and UC Santa Cruz have on-campus the UC community. emeriti/retiree centers with dedicated staff and facilities to serve retirees and emeriti. Most of the centers Among the changes you’ll experience is where you go for information and assistance regarding your retirement and • Support the work of the emeriti and retiree associations health and welfare benefits. To be sure you receive important • Provide additional programs and services including information about your UC benefits, keep your address current. pre- and post- retirement workshops and open enrollment You can update your address online by visiting UCnet assistance (ucnet.universityofcalifornia.edu) and selecting UC Retirement At Your Service (UCRAYS). Or call the UC Retirement Adminis- • Serve as liaisons between the campus and retirees/emeriti tration Service Center at 800-888-8267, especially if your move • Help retiring faculty and staff with retaining UC email could affect your health and welfare benefits. privileges, library privileges, parking and more

You’ll also have new opportunities to remain connected to UC. For contact information, see page 27 or visit ucnet. universityofcalifornia.edu/retirees for additional information. Here are some resources you may wish to use in your retirement: UCNET Keep up with important news about UC and the latest informa- UC RETIREMENT ADMINISTRATION SERVICE CENTER tion about your UC retiree benefits by visiting the UCnet As an employee, you have looked to your location for information website (ucnet.universityofcalifornia.edu). The site has a special and services regarding your benefits; as a retiree, the UC section for retirees (ucnet.universityofcalifornia.edu/retirees) Retirement Administration Service Center will serve you. You where you’ll also find links to campus resources. can contact the Service Center by phone (800-888-8267) or via a web-based form available at: ucal.us/askrasc UCnet also provides a link to UC Retirement At Your Service (UCRAYS), the portal where you will continue to view your EMERITI/RETIREE ASSOCIATIONS AND current UC-sponsored benefits enrollments. After you sign in to RETIREMENT CENTERS UCRAYS, you can view your monthly retirement benefits Every campus and laboratory has an emeriti and/or retiree statement, change your address, change or add beneficiaries, association which you are eligible to join upon retirement. change your tax withholdings and direct deposit information, Dues range from $15 to $40 per year, and some associations and obtain your annual tax documents. offer first-year membership at no cost. These associations: NEW DIMENSIONS • Promote the interests of UC retirees and emeriti, particularly All retirees receiving a monthly UCRP benefit and/or UC-sponsored regarding UC-sponsored benefits for retirees, to university health and welfare benefits receive New Dimensions, the UC administration retiree quarterly newsletter. You may choose to receive it via • Facilitate retirees’ support of UC through volunteer programs, U.S. mail or electronically. New Dimensions is UC’s official scholarship funds for students, advocacy programs and more publication regarding retiree benefits information. • Provide social, intellectual, wellness and other programs that foster continued connections to friends, colleagues and the university • Keep members informed of news and events through regular emails and newsletters

If you move away from your home campus, you are welcome to join the association where you live. For more information, visit ucnet.universityofcalifornia.edu/retirees/associations.html

24 After You Retire

RETURNING TO UC AFTER RETIREMENT • Retirees receiving a monthly retirement benefit who take a staff position must submit a completed UCRP Reemployed Every year some retired faculty and staff return to work at UC. Retiree Notification Form (UBEN 1039). (The form is not required Most rehired UC retirees work on a part-time basis and for a for retired staff employees who received a lump sum cashout.) limited duration, which supports the orderly administration of the retirement system and the need to refresh the UC workforce. • A retired employee who is receiving UCRP monthly retirement income may suspend retirement income payments and To protect the university’s reputation and ensure compliance with enrollment in retiree health benefits and Medicare and be IRS pension distribution rules while continuing to give managers reemployed in a career or long-term appointment after the the flexibility to call on retired employees when needed, the appropriate break in service. A retired employee who takes university has developed the following policy requirements for a lump sum cashout however, may not be reemployed into a returning to work in a staff or senior management position career or long-term appointment. after retirement: • If you suspend retirement income or your retiree health and welfare benefits because you’ve been rehired into a position • Reemployment must be in response to a university need; eligible for primary retirement benefits, you must re-retire the for example, the retired employee possesses skills and day after you again leave UC employment and complete the institutional knowledge that the hiring department cannot required process to reinstate your retiree health benefits. If otherwise obtain with equal cost effectiveness; the hiring you stopped your Medicare coverage, contact Social Security department anticipates a prolonged process for hiring a about re-enrolling before you separate. replacement; or the hiring department anticipates that the retired employee will assist the replacement in acquiring It is important to disclose your status as a UC retiree at the necessary skills and knowledge. time you apply for employment with the university. If you do • You must have a break in service of at least 30 calendar not disclose your status, you may be subject to appropriate days, and preferably 90 days before you can be rehired. In disciplinary action and your appointment could subsequently addition, if you have not reached normal , be modified or withdrawn. defined by UCRP as age 60 (65 for most 2013 and 2016 Tier members and 50 for Safety Members), you must not engage For more information, see the Returning to UC Employment in discussions concerning reemployment until after you have after Retirement Fact Sheet, available online at received your first monthly retirement benefit or lump sum ucal.us/returntowork or from the UC Retirement Administration cashout or 30 days after separation, whichever is later. Service Center. • The rehire appointment must be limited to the equivalent of no more than 43 percent time during a 12-month period; for faculty, the appointment cannot be more than 43 percent time per month. • Employment of a staff retiree must not exceed a total of 12 months. If continued reemployment is necessary after 12 months, the hiring department must follow the same approval process as it did for the original appointment. • The location’s executive officer (or designee) must approve all staff appointments after the chief human resources officer’s review and endorsement. For academics, the chancellor (or designee) approves all appointments, and the provost must approve compensation that exceeds the appropriate indexed compensation level. In addition, the regents must approve the appointment of a retired employee into a senior management position or one in which the base salary plus any other compensation meets or exceeds the indexed compensation level.

25 Chapter Title For More Information ChapterFor More Title Information

BodyUCnet Copy UnitedHealthcare ucnet.universityofcalifornia.edu UC Medicare Choice 866-887-9533 UHCRetiree.com/uc UC Retirement At Your Service retirementatyourservice.ucop.edu ViaBenefits Medicare Coordinator Program UC Retirement Administration Service Center 855-359-7381 my.viabenefits.com/uc 800-888-8267 Monday–Friday, Hours: 8:30 a.m.–4:30 p.m. PT. OTHER PLAN PROVIDERS ARAG Legal Fidelity Retirement Services 800-828-1395 866-682-7787 myUCretirement.com araglegalcenter.com ID: 11700 California Public Employees’ Retirement System (CalPERS) California Casualty Service Center (Auto and Homeowner/Renter) 888-225-7377 800-800-9410 California State Teachers’ Retirement System (CalSTRS) Dental Plan PPO 800-228-5453 800-777-5854 Social Security Administration DeltaCare® USA 800-772-1213 ssa.gov 800-422-4234 Medicare MetLife Choice (Auto and Homeowner/Renter for Berkeley, 800-medicare medicare.gov Davis and San Diego) (800-633-4227) 866-700-3113 ucpp.ucop.edu/metlifechoice California Franchise Tax Board Prudential Life and AD&D Conversion Unit 800-852-5711 877-889-2070 Internal Revenue Service Prudential Life and AD&D Portability Unit 800-829-1040 800-778-3827 MEDICAL PLAN PROVIDERS Vision Service Plan (VSP) Anthem Blue Cross 866-240-8344 ucretirees.vspforme.com CORE, UC Care, UC Health Savings Plan, UC High Option Supplement to Medicare, UC Medicare PPO, WEX Health (Flexible Spending Accounts) UC Medicare PPO without Prescription Drugs 800-482-4120 844-437-0486 ucppoplans.com BENEFITS OFFICES Health Equity UC Berkeley 866-212-4729 healthequity.com/ed/uc 510-664-9000, option 3

Health Net UC Davis UC Blue & Gold HMO 530-752-1774 800-539-4072 healthnet.com/uc UC Davis Health Kaiser Permanente—California 916-734-8099 800-464-4000 my.kp.org/universityofcalifornia UC Irvine Kaiser Permanente Senior Advantage 949-824-5210 800-443-0815 my.kp.org/universityofcalifornia UC Irvine Health MHN Behavioral Health (UC Blue & Gold) 714-456-5736 800-663-9355 UCLA Optum (behavioral health for Kaiser) 310-794-0830 888-440-8225 liveandworkwell.com Access Code: 11280

26 Chapter Title For More Information Chapter Title

BodyUCLA Copy Health UC Irvine 310-794-0500 Center for Emeriti & Retirees (CER) Jeri I. Frederick, Director ASUCLA 949-824-7769 [email protected] 310-825-7055 retirees.uci.edu Emeriti Association: sites.uci.edu/emeriti UC Merced Retiree Association: retirees.uci.edu/retirees-association 209-355-7178 UCLA UC Riverside Emeriti Retirees Relations Center 951-827-4766 Ayesha Dixon, Director UC San Diego 310-825-7456 310-825-1572 (fax) 858-534-2816 errc.ucla.edu [email protected] Emeriti Association: www.errc.ucla.edu/em UC San Diego Health Retiree Association: www.retirees.ucla.edu 619-543-3200 UC Riverside UC San Francisco Emeriti and Retiree Associations: www.emeriti-retirees.ucr.edu 415-476-1400 UC San Diego UC San Francisco Health Retirement Resource Center 415-353-4545 Suzan Cioffi, Director 858-534-4724 858-534-3767 (fax) UC Santa Barbara [email protected] 805-893-2489 [email protected] Emeriti Association: emeriti.ucsd.edu UC Santa Cruz Retiree Association: retirement.ucsd.edu 831-459-2013 UC San Francisco Agriculture & Natural Resources Retiree Association: www.ucsfalumni.org/ucsfra 530-752-1774 UC Santa Barbara Office of the President Emeriti/Retiree Relations Center 855-982-7284 Karen Rasmussen, Coordinator 805-893-2168 [email protected] Lawrence Berkeley National Laboratory www.hr.ucsb.edu/retirees/welcome 510-486-6403 UC Santa Cruz Hastings College of the Law Retiree Center 415-565-4703 Christy Dawley, Coordinator RETIREMENT CENTERS AND ASSOCIATIONS 831-502-8202 [email protected] Emeriti Association: emeriti.ucsc.edu UC Berkeley Retiree Association: retirees.ucsc.edu Retirement Center, Emeriti Association, Retiree Association Lawrence Berkeley National Laboratory 101 University Hall, Berkeley, CA 94720-1550 retirement.berkeley.edu/ex-ls 510-642-5461 [email protected] retirement.berkeley.edu Lawrence Livermore National Laboratory livermorelabretirees.org UC Davis [email protected] Retiree Center Kyle Urban, Director Los Alamos National Laboratory 530-754-7105 [email protected] www.losalamoslrg.org retireecenter.ucdavis.edu Emeriti Association: emeritiassociation.ucdavis.edu UC Office of the President Retiree Association: ucdra.ucdavis.edu retirement.berkeley.edu/parra

27

By authority of the Regents, University of California Human Resources, located in Oakland, administers all benefit plans in accordance with applicable plan documents and regulations, custodial agreements, University of California Group Insurance Regulations, group insurance contracts, and state and federal laws. No person is authorized to provide benefits information not contained in these source documents, and information not contained in these source documents cannot be relied upon as having been authorized by the Regents. Source documents are available for inspection upon request (800-888-8267). What is written here does not constitute a guarantee of plan coverage or benefits— particular rules and eligibility requirements must be met before benefits can be received. The University of California intends to continue the benefits described here indefinitely; however, the benefits of all employees, retirees, and plan beneficiaries are subject to change or termination at the time of contract renewal or at any other time by the University or other governing authorities. The University also reserves the right to determine new premiums, employer contributions and monthly costs at any time. Health and welfare benefits are not accrued or vested benefit entitlements. UC’s contribution toward the monthly cost of the coverage is determined by UC and may change or stop altogether, and may be affected by the state of California’s annual budget appropriation. If you belong to an exclusively represented bargaining unit, some of your benefits may differ from the ones described here. For more information, employees should contact their Human Resources Office and retirees should call the UC Retirement Administration Service Center (800-888-8267).

In conformance with applicable law and University policy, the University is an / employer. Please send inquiries regarding the University’s affirmative action and equal opportunity policies for staff to Systemwide AA/EEO Policy Coordinator, University of California, Office of the President, 1111 Franklin Street, 5th Floor, CA 94607, and for faculty to the Office of Academic Personnel and Programs, University of California Office of the President, 1111 Franklin Street, Oakland, CA 94607. 10M 1400 6/21 20M 2001 1/12 Retirement Handbook for UCRP Members